Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.78 / $543.00 / $5,634.00	Facility		$196.78	$543.00	$5,634.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.10 / $202.10 / $390.05	Facility		$202.10	$202.10	$390.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.18 / $207.97 / $239.97	Facility		$163.18	$207.97	$239.97
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00